Choosing a Medical Specialty: Factors Considered by Iranian General Practitioners

Document Type : Original Article

Authors

1 Rheumatic Diseases Research Center (RDRC), School of Medicine, Mashhad University of Medical Sciences, Mashhad, IRAN

2 Lung Disease & TB Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IRAN

3 Neurosurgical Department, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, IRAN

4 Cancer Research Center, Omid Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IRAN

Abstract

Background: For medical students, the selection of a specialty is one of the most critical decisions to be made. On a personal level, it determines lifetime career achievements and, for the community, it directly affects the outcome of public health programs. The aim of this study was to investigate which factors were more important among Iranian residents when considering a specialty.
Methods: A total of 354 residents from 19 specialties answered the questionnaire which explored their views on nine factors which could have a possible impact on their decision. These factors were selected based on a preliminary discussion with residents and a review of related articles.
Results: The first three most common specialties were internal medicine (12.2%), surgery (10.2%) and cardiology (9.6%) for men and obstetrics and gynecology (17.9%), internal medicine (12.6%), and pathology (9.3%) for women. The highest score was related to the personal scientific interest, with a mean of 82.62±19.07 and the lowest score to government regulations and aims, with a mean of 14.90±26.11 in both genders. After that, among females, the role of family (p=0.002) and controllable lifestyle were considered valuable. The second most important factor among males was financial reward (p=0.006).
Conclusions: Personal interest, knowledge about a specialty, controllable lifestyle and financial reward are the most common reported factors among participants. Considering such influential factors is critical for producing motivated specialists and successful health care planning.         

Keywords

References

1. Khader Y, Al-Zoubi D, Amarin Z, Alkafagei A, Khasawneh M, Burgan S, et al. Factors affecting medical students in formulating their specialty preferences in Jordan. BMC Med Educ 2008; 8: 32.
2. Wright B, Scott I, Woloschuk W, Brenneis F, Bradley J. Career choice of new medical students at three Canadian universities: family medicine versus specialty medicine. Can Med Assoc J 2004; 170 :1920-4.
3. Apker J, Eggly S. Communicating professional identity in medical socialization: Considering the ideological discourse of morning report. Qual Health Res 2004; 14: 411-29.
4. PawełczykA, PawełczykT, BieleckiJ. The effect of some factors on medical student specialty choice of non-primary care–a synthesis of the literature. Pol Merkur Lekarski 2007; 22: 575-9. [In Polish].
5. Khater-Menassa B, Major S. Factors influencing the choice of specialty among medical students in Lebanon. J Med Liban 2005; 53:16-20.
6. Saigal P, Takemura Y, NishiueT, Fetters MD. Factors considered by medical students when formulating their specialty preferences in Japan: Findings from a qualitative study. BMC Med Educ 2007; 7: 31.
7. Zarghami M, Ghaffari Sarvari V, Khalilian A, Sefid Chian A. Motivations influencing the specialty choices of medical school graduates. Journal of medical education 2003; 3: 33-7. [In Persian].
8. WanzelKR, WardM, Reznick RK. Teaching the surgical craft: From selection to certification. Curr Probl Surg 2002; 39: 573-659.
9.  Wang KI, Chang PY, Hung CY, Hung YH. Analysis of senior medical students’ preferences in specialty choice a survey in a medical school in northern Taiwan. Chang Gung Med J 2007; 30: 339-53.
10. Egerton EA. Career preferences enquiry among Queen's University Medical undergraduates and graduates: A follow-up. Med Educ 1983; 17: 105-11.
11. Harris LM, Chaikof EL, Eidt JF. Altering the career choice: Can we attract more women
to vascular surgery? J Vasc Surg 2007; 45: 846-8.
12. Pawelczyk A, Pawelczyk T, Bielecki J. Differences in medical specialty choice and in personality factors among female and male medical students. Pol Merkur Lekarski 2007; 23: 363-6. [In Polish].
13.  Aufses AH, Slater GI, Hollier LH. The nature and fate of categorical surgical residents who “drop out”. Am J Surg 1998;175: 236-9.
14. Ambrozy DM, Irby DM, Bowen JL, Burack JH, Carline JD, Stritter FT. Role models’ perceptions of themselves and their influence on students’ specialty choices. Acad Med 1997; 72: 1119-21.  
15.  Burack JH, Irby DN, Carline JD, Ambrozy DM, Ellsbury KE, Stritter FT. A study of medical students' specialty-choice pathways: trying on possible selves. Acad Med 1997; 72: 534-41.
Future of Medical Education Journal
Volume 4, Issue 4 - Serial Number 4
Winter
December 2014
Pages 15-19

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